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Studies show that results-based accountability (RBA) can be a powerful tool to initiate and enhance systems of continuous improvement and learning. These case studies describe RBA efforts in eight states. Each case study identifies the process of designing and implementing RBA systems and includes a description of state and local RBA efforts, their history, the development process, the uses of the RBA systems, and the lessons learned. The unique experiences of the eight states in the studies provide valuable insights to those responsible for RBA efforts elsewhere in the nation.